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目的了解影响基层医院医护人员手卫生依从性的因素,探讨提高医护人员手卫生依从性的对策。方法采用问卷调查法、实地查看法,对医护技人员手卫生的依从性及其影响因素进行调查。结果基层医院医护人员对手卫生认知不足,手卫生依从性平均为53.58%,其中护士为60.02%,医师为49.04%,医技人员为33.76%。工作繁忙成为影响手卫生执行的首要因素,占65.6%;而基层医院洗手设施不足,布局不合理则成为影响卫生执行的次要因素,分别占42.99%、40.13%;认为经常洗手会引起手部皮肤干燥,增加科室成本等也是影响手卫生执行情况的因素。结论提高医护人员手卫生依从性,需要医院管理层的高度重视,职能部门的督导教育,临床各科室针对实际工作采取更多的综合措施,多部门共参与,才能取得好的成效。
Objective To understand the factors influencing the hand hygiene compliance of medical staff in primary hospitals and discuss the countermeasures to improve hand hygiene compliance of medical staff. Methods Questionnaire survey and field survey were conducted to investigate the compliance of hand hygiene of medical technicians and their influential factors. Results There was a lack of cognition on the paramedics of grassroots hospital staff. The average compliance of hand hygiene was 53.58%, including 60.02% for nurses, 49.04% for physicians and 33.76% for medical technicians. Busy work has become the primary factor affecting the implementation of hand hygiene, accounting for 65.6%; while inadequate hand washing facilities and unreasonable layout in grass-roots hospitals have become the secondary factors affecting health implementation, accounting for 42.99% and 40.13% respectively; and that frequent hand washing will cause hand Dry skin, increasing the cost of the department is also a factor affecting the implementation of hand hygiene. Conclusion To improve the hand hygiene compliance of medical staff, the hospital management attaches great importance to supervision and education of functional departments. All departments in clinical departments should take more comprehensive measures for practical work and participate in various departments in order to achieve good results.